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Potential Application of Ultrasound-Guided Vacuum-Assisted Excision (US-VAE) for Well-selected Intraductal Papillomas of the Breast: Single-Institutional Experiences

  • Breast Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

The study objective was to evaluate our experiences of ultrasound-guided vacuum-assisted excision (US-VAE) of benign intraductal papillomas, and to discuss its potential application as a minimally invasive treatment

Methods

We reviewed the sonographic and histologic features of 29 benign intraductal papillomas removed by US-VAE. The procedure was recommended on the basis of our indications. For validation of selection criteria, the sonographic and pathologic characteristics of surgically excised 94 papillary lesions during the same period were also evaluated.

Results

The mean diameter of the lesions was 9.8 mm (range 5–15 mm). There was no mass that abutted the skin or pectoralis muscle and extended the branching ducts. All lesions were category 3 or category 4a. The pathologic diagnoses of all removed masses were benign. Local recurrence was observed in one patient. According to the validation study, papillary lesions less than 1.5 cm of category 3 or 4a were mostly reported to be benign (95.9%, 47 of 49).

Conclusions

US-VAE may be a useful alternative to surgical excision in well-selected benign intraductal papillomas.

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Authors and Affiliations

  1. Department of Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Korea

    Kyung Hee Ko MD & Hye Kyoung Jung MD

  2. Department of Radiology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea

    Ji Hyun Youk MD

  3. Department of Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea

    Kyung Po Lee MD

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  1. Kyung Hee Ko MD
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  2. Hye Kyoung Jung MD
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Correspondence to Kyung Hee Ko MD.

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Ko, K.H., Jung, H.K., Youk, J.H. et al. Potential Application of Ultrasound-Guided Vacuum-Assisted Excision (US-VAE) for Well-selected Intraductal Papillomas of the Breast: Single-Institutional Experiences. Ann Surg Oncol 19, 908–913 (2012). https://doi.org/10.1245/s10434-011-2050-3

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  • DOI: https://doi.org/10.1245/s10434-011-2050-3

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